title: Partial penectomy and penile reconstruction. Initial surgical management of localized penile cancer.
abstract: BACKGROUND
  Surgical management for penile carcinoma is mutilating and affects significantly quality of life. Hereby we present our experience on penile reconstruction (PR) immediately after oncologic resection.
  
  
  METHODS
  We included all patients from January 2007 until April 2012 who underwent PR after partial penectomy (PP). Patients included in the study were seen at four different hospitals. All procedures were done by the same surgeon. Information included were: oncological status at the moment of surgery, surgical technique used for reconstruction. Each case was also registered photographically. On follow-up visits data about outcome and patient's satisfaction were registered.
  
  
  RESULTS
  During the study period 15 patients underwent PR. Average age at the moment of surgery was 49 years. Average follow-up was 15 months. In 12 patients PR was made at the same time as PP. Of those, four cases underwent glans resurfacing, 2 glandectomy, 6 partial penectomy, and the remaining 3 have had PP in a different time in the past. Every case underwent a split thickness graft procedure. Only 2 patients had postoperative complications. One of them presented urethral stricture and the other graft ischemia. Three patients had positive nodes at the moment of PP and two during the follow-up. None of the cases have presented local recurrence and only one died. On follow-up the remaining patients refer a good quality of life and felt happy with aesthetic results.
  
  
  CONCLUSIONS
  Given the results presented hereby we propose that PR must be part of the same procedure as the PP.
authors.affiliation: Urólogo, Profesor Asistente Facultad de Medicina Pontificia Universidad Javeriana, Hospital Universitario San Ignacio, Bogotá, Colombia. Electronic address: jaime.perez@javeriana.edu.co.
authors.forename: J
authors.initials: J
authors.lastname: Pérez-Niño
authors.affiliation: Residente III de Urología Pontificia Universidad Javeriana, Estudiante de Doctorado (PhD) Ciencias Básicas, Pontificia Universidad Javeriana, Hospital Universitario San Ignacio, Bogotá, Colombia.
authors.forename: N
authors.initials: N
authors.lastname: Fernández
authors.affiliation: Urólogo, Clínica Ardila Lulle. Profesor Universidad Autónoma, Bucaramanga, Colombia.
authors.forename: G
authors.initials: G
authors.lastname: Sarmiento
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D008875:Middle Aged; D010412:Penile Neoplasms / Q000601:surgery*; D010413:Penis / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013521:Urologic Surgical Procedures, Male / Q000379:methods
keywords: Carcinoma de pene; Graft; Injerto; Penile carcinoma; Reconstrucción; Reconstruction